NPI 1053932178

Talicia Jackson, MD

Practitioner Obstetrics & Gynecology Physician Newark, NJ

Practice location

Address: 140 Bergen St # C, Newark, NJ 07103-2425
Phone: (973) 972-2700

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 5MA12190200 (NJ)

Other Obstetrics & Gynecology providers in New Jersey →

Registry record

NPI: 1053932178
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2020
Record last updated: 30 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.